Provider Demographics
NPI:1881195295
Name:LOTTO, DIANE J (LCSW)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:J
Last Name:LOTTO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:37 MEADOW SWEET RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5240
Mailing Address - Country:US
Mailing Address - Phone:914-582-6194
Mailing Address - Fax:
Practice Address - Street 1:1008 MAIN ST STE 201&202
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2963
Practice Address - Country:US
Practice Address - Phone:845-271-7170
Practice Address - Fax:845-271-7170
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0865981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical